Healthcare Provider Details

I. General information

NPI: 1790622595
Provider Name (Legal Business Name): NEW HORIZON COMMUNITY CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/30/2026
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1414 NW 107TH AVE
SWEETWATER FL
33172-2732
US

IV. Provider business mailing address

1414 NW 107TH AVE
SWEETWATER FL
33172-2732
US

V. Phone/Fax

Practice location:
  • Phone: 305-791-9661
  • Fax: 305-990-8409
Mailing address:
  • Phone: 305-791-9661
  • Fax: 305-990-8409

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: NOMAR CARTAYA
Title or Position: MGR
Credential:
Phone: 305-791-9661